⚠️

Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

Read our methodology →

Shelley CastleCRNP-A

Nurse Practitioner · Hagerstown, MD 21740

NPI: 1073646931

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48

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peers99th percentile opioid prescribingHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

1,876

Total Claims

$187K

Drug Cost

272

Beneficiaries

$688

Cost/Patient

Risk Score Breakdown 48/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+15
Long-acting opioid rate+8

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+1898%

Opioid rate vs peers

75.6% vs 3.8% avg

-41%

Cost per patient vs peers

$688 vs $1,174 avg

+24%

Brand preference vs peers

11.0% vs 8.9% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

75.6%

Opioid Rate

1,418

Opioid Claims

$170K

Opioid Cost

38.8%

Long-Acting Rate

This provider's opioid prescribing rate of 75.6% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

89% generic

Brand: 206 claims · $121K

Generic: 1,670 claims · $66K

Patient Profile

68

Avg Age

61%

Female

1.26

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About